Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.

More about Dr. K. Thiyagarajan

Dr. K. Thiyagarajan is a renowned Endocrinologist in Porur, Chennai. He has over 19 years of experience as a Endocrinologist. He has done MBBS, MD . He is currently practising at Vignesh Hospital in Porur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. K. Thiyagarajan on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 31 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

High uric acid level can be caused when human body either produces too much uric acid or your kidneys do not eliminate uric acid rapidly enough.
A high uric acid level may cause increasingly frequent attacks of gout. A high uric acid level may also cause some people to develop kidney stones or kidney failure. And some people with a high uric acid level also develop high blood pressure, heart disease or chronic kidney disease.
Factors that may cause a high uric acid level in your blood include:
Diuretic medications , Drinking too much alcohol, Genetics disorder , hypothyroidism ,
Immune-suppressing drugs, Niacin, or vitamin B-3, obesity, psoriasis, Purine-rich diet — organ meat, dried beans, driedpeas, mushrooms and other foods
Avoid protein diets, avoid more milk products. bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg.,
take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed.
Do test KFT every 6 months to monitor levels of it.
Take tab. Zyloric 100 mg once a day.
Tab. Ulracet sos for pain in joints .

Hi lybrate-user,
thyroid disorder or hypothyroidism cannot be completely cured with allopathic mode of treatment, it can only give you suppression of the disease but not complete cure.
You should take homoeopathic treatment for best results and that too side effect free.
You should start taking calcium and vitamin b12 in your diet as well as in supplements.
For homoeopathic treatment contact further.

While cold and cough are common, diseases like Addison’s disease are rare. It is also known as chronic adrenal insufficiency or hypocortisolism as it is a result of insufficient production of hormones like cortisol and aldosterone by the adrenal glands. This disease can affect men and women of any age.

There are two types of Addison’s disease. These are:

Primary adrenal insufficiency: In this case, the adrenal glands themselves have a problem.

Secondary adrenal insufficiency: If the hormone production in the adrenal glands is restricted by a problem that has started somewhere else like the pituitary gland, for example, it is known as secondary adrenal insufficiency.

Primary adrenal insufficiency is more common of the two. This could be triggered as a result of autoimmune diseases or a long lasting infection such as HIV, tuberculosis and some fungal infections. Cancer can also cause this type of Addison’s disease.

Secondary adrenal insufficiency is usually caused by a problem with the pituitary gland or the hypothalamus as they are responsible for the production of hormones that stimulate the adrenal glands. Damage caused to the pituitary gland by tumors or radiation and surgery can also interfere with hormone production. Prolonged and improper use of steroid hormones can also trigger this condition.

Addison’s disease has a very slow progression and its symptoms develop gradually over time. Some of these symptoms are:

Treatment for Addison’s disease involves hormone replacement therapy. This aims at correcting the hormone levels in the body. Hormone replacement therapy includes oral corticosteroids and corticosteroid injections. The dosage of these steroids could vary depending on the situation. For example, the doctor may suggest a temporary high dosage when the patient is in a stressful condition. Along with this, sodium is also recommended especially during the summer months and while exercising. This medication must be taken regularly as skipping a single dose can be dangerous.

In some cases this condition can become life threatening. An addisonian crisis causes a drop in blood pressure, sugar and a spike in potassium levels in the body. This requires immediate medical attention and can be treated with intravenous injections of hydrocortisone, saline solution and sugar.

In case you have a concern or query you can always consult an expert & get answers to your questions!

In hypothyroidism:-- where there is deficiency of thyroxine hormone leading to sluggishness,
tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and
face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is
giving thyroxine tablets. And dose are according to level of thyroid for life time.
Avoid bad habits . Avoid stress. Some Relax during work.
Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta
and bread.
Nutrient-rich foods that improve your health may also benefit your thyroid gland,
antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell
peppers, and other foods rich in antioxidants can improve overall health and benefit the
thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil,
Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial.
Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help,
avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consut doctor on time.

Diabetes mellitus, or simply diabetes, is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. Insulin is a hormone made by the pancreas, that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells.
Not being able to produce insulin or use it effectively leads to raised glucose levels in the blood (known as hyperglycaemia). Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues.
There are three main types of diabetes:
Type 1 diabetes used to be called juvenile-onset diabetes. It is usually caused by an auto-immune reaction where the body’s defence system attacks the cells that produce insulin. The reason this occurs is not fully understood. People with type 1 diabetes produce very little or no insulin. The disease may affect people of any age, but usually develops in children or young adults. People with this form of diabetes need injections of insulin every day in order to control the levels of glucose in their blood. If people with type 1 diabetes do not have access to insulin, they will die.
Type 2 diabetes used to be called non-insulin dependent diabetes or adult-onset diabetes, and accounts for at least 90% of all cases of diabetes. It is characterised by insulin resistance and relative insulin deficiency, either or both of which may be present at the time diabetes is diagnosed. The diagnosis of type 2 diabetes can occur at any age. Type 2 diabetes may remain undetected for many years and the diagnosis is often made when a complication appears or a routine blood or urine glucose test is done. It is often, but not always, associated with overweight or obesity, which itself can cause insulin resistance and lead to high blood glucose levels. People with type 2 diabetes can often initially manage their condition through exercise and diet. However, over time most people will require oral drugs and or insulin.
Both type 1 and type 2 diabetes are serious. There is no such thing as mild diabetes.
Gestational diabetes (GDM) is a form of diabetes consisting of high blood glucose levels during pregnancy. It develops in one in 25 pregnancies worldwide and is associated with complications to both mother and baby. GDM usually disappears after pregnancy but women with GDM and their children are at an increased risk of developing type 2 diabetes later in life. Approximately half of women with a history of GDM go on to develop type 2 diabetes within five to ten years after delivery.

At the age of 62, dryness of vagina can also cause itching. So she should go for creams that moisturise vagina. Take her to a Gynaecologist who will decide what exactly she needs. Fungal infections are common in diabetics. So the Gynaecologist will decide from that angle also.

Normal level of testosterone is 300 to 1000h ng/dl. Your testosterone is low. Hba1c should be less than 6. Do a blood sugar test (fasting &pp), repeat hba1c and consult physician with report for advice and treatment.

HI,
Your FBS reading is OK. But your BP reading is high. Monitor your BP reading for 1 week both in the morning and and in the evening. If there are variations, then consult a physician for further management.